Club Futsal Championship - Registration Form
Full details can be found at: www.olefutsal.com.au/allstarscup
Player Name
*
First Name
Last Name
Date of Birth
*
-
Day
-
Month
Year
Date
What's your age group for this competition?
Under 8 (Born in 2019/18)
Under 10 (Born in 2017/16)
Under 12 (Born in 2015/14)
Under 14 (Born in 203/12)
Gender
*
Male
Female
Parent Name
*
First Name
Last Name
Mobile Number
*
Format: 0400 000-000.
Email
*
example@example.com
Fees: (payment button available after form submission)
*
$215 (upfront discounted fees)
2x Instalments of $125 (due prior 1st & 3rd rounds)
Is your child injury free & fit to participate
*
Yes
No
By selecting "Yes", I acknowledge that the information provided is true and correct. I also commit to paying the fees and attending the event days as per the details on the website.
*
Yes
No
Submit
Should be Empty: